Claims

If you are using TRICARE Prime, in most cases, you will not need to file claims for healthcare services. There may be times, however, when you will need to pay for care and then file the claims yourself to receive payment. You will be reimbursed for TRICARE-covered services at the TRICARE allowable amount, less any copayments, cost-shares or deductibles.

If you are using the TRICARE Extra option, your provider will submit claims on your behalf. If you are using the TRICARE Standard option, you may be required to submit your own healthcare claims.